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Gallbladder dyskinesia: fact or fiction?
Geoffrey Francis1, John Baillie
1Wake Forest University Baptist Medical Center, Nutrition Building, Floor E, Medical Center Boulevard, Winston-Salem, NC 27157, USA. gfrancis@wfubmc.edu
Current Gastroenterology Reports
|January 12, 2011
Summary
Gallbladder dyskinesia causes episodic abdominal pain due to motility issues. High suspicion and low gallbladder ejection fraction predict successful gallbladder removal surgery.
Area of Science:
- Gastroenterology and Hepatobiliary Science
Background:
- Gallbladder dyskinesia is a functional gallbladder motility disorder.
- It presents as episodic abdominal pain, often a diagnosis of exclusion.
Purpose of the Study:
- To identify key predictors for successful cholecystectomy in patients with gallbladder dyskinesia.
Main Methods:
- Diagnosis involves excluding other functional and organic disorders.
- Key diagnostic tool: cholecystokinin-stimulated cholescintigraphy to assess gallbladder ejection fraction (GBEF).
Main Results:
- High clinical suspicion is crucial for diagnosis.
- An abnormally low GBEF (<35-40%) on cholescintigraphy is a significant predictor of positive outcomes after surgery.
Conclusions:
- Gallbladder dyskinesia diagnosis requires thorough exclusion of other conditions.
- Combining clinical judgment with objective GBEF measurement aids in selecting patients who will benefit from cholecystectomy.
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